明视针刀治疗腰椎间盘突出合并侧隐窝狭窄症的临床研究
发布时间：2018-08-13 12:24
【摘要】：目的:将针刀操作工具和现代西医微创介入技术相结合,L5/S1夹脊穴为进针点,在全程可视条件下进行针刀松解侧隐窝内束缚神经根的纤维隔附着处,从而治疗L5/S1椎间盘突出合并侧隐窝狭窄症所引起的临床症状,通过临床观察,与传统纠正脊柱生理曲度的针刀治疗相比较,践实该方案的临床优越性,探索出针刀疗法治疗该病更安全、有效、便捷的现代化临床路径。方法:本课题筛选L5/S1椎间盘突出合并侧隐窝狭窄症60例,依照就诊次序运用spss软件随机分为试验组和对照组各30例,各组治疗一个疗程均为15天,试验组给予明视针刀治疗,疗程时间内共治疗1次,对照组给予传统针刀治疗,每7日1次,疗程时间内共治疗两次。疗程结束后进行统计分析,评价两组组内、组间治疗前后JOA评分、VAS评分等相关数据。结果:治疗后数据分析:1、治疗前两组VAS评分无显著差别(p0.05),治疗后两组VAS评分差别显著(p0.05);2、治疗前两组JOA评分无显著差别(p0.05),治疗后两组JOA评分分析,腰椎功能改善指数、改善率差别显著(p0.05);结果分析明视针刀治疗较传统针刀治疗有更好的临床疗效;3.总体疗效分析,试验组7例治愈、15例显效、6例好转、2例无效,总有效率93.3%,治愈率为23.3%;对照组1例治愈、15例显效、8例好转、6例无效,总有效率80%,治愈率为3%。两组具有统计学意义且差别显著(p0.05)。试验组临床疗效优于对照组。结论:明视针刀松解腰部夹脊穴治疗L5/S1椎间盘突出合并侧隐窝狭窄症,在腰椎功能改善及临床疗效上均优于传统针刀治疗,本治疗方案结合传统针灸、现代针刀以及西医微创介入技术,于全程明视条件下直达病所,进行针刀松解,安全、有效、可重复性高,值得临床推广运用。
[Abstract]:Objective: to combine the needle knife operation tool with the modern western medicine minimally invasive interventional technique to release the fiber septal attachment of the bound nerve root in the lateral recess under the whole visual condition by using L5 / S1 Jiaji point as the point of entry. In order to treat the clinical symptoms caused by L5/S1 disc herniation and lateral recess stenosis, compared with the traditional needle-knife therapy to correct the physiological curvature of the spine, the clinical advantages of this scheme were confirmed. To explore a more safe, effective and convenient modern clinical pathway of needle-knife therapy for the disease. Methods: 60 cases of L5/S1 disc herniation with lateral recess stenosis were selected. According to the order of seeing a doctor, 60 cases were randomly divided into two groups: the experimental group (n = 30) and the control group (n = 30). One course of treatment was 15 days in each group. The experimental group was treated with clear vision needle knife. The control group was treated with traditional needle knife once every 7 days, and the control group was treated twice during the course of treatment. At the end of the course of treatment, the data of JOA score and VAS score were evaluated before and after treatment. Results: after treatment, there was no significant difference in VAS score between the two groups before and after treatment (p0.05). After treatment, there was no significant difference in VAS score between the two groups (p0.05). There was no significant difference in JOA score between the two groups before and after treatment (p0.05). After treatment, the JOA score of the two groups was analyzed, and the improvement index of lumbar vertebrae function was found. The improvement rate was significantly different (p0.05). Results the apparent acicular knife therapy had better clinical effect than traditional needle-knife therapy (p0.05). The overall curative effect was analyzed. In the test group, 15 cases were cured, 15 cases improved significantly, 6 cases were improved, 2 cases were ineffective, the total effective rate was 93.33.The cure rate was 23.30.The control group (1 case) cured 15 cases with remarkable effect and 8 cases had no effect, the total effective rate was 80%, and the cure rate was 3%. The two groups had statistical significance and significant difference (p0.05). The clinical effect of experimental group was better than that of control group. Conclusion: the treatment of L5/S1 disc herniation with lateral recess stenosis with clear vision needle knife is superior to that of traditional acupuncture therapy in improving lumbar function and clinical curative effect. This treatment scheme combined with traditional acupuncture and moxibustion is superior to that of traditional acupuncture treatment in the treatment of lumbar disc herniation and lateral recess stenosis. Modern needle-knife and western minimally invasive interventional technique, under the condition of the whole open vision, the needle knife release, safe, effective, high reproducibility, worthy of clinical application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9
[Abstract]:Objective: to combine the needle knife operation tool with the modern western medicine minimally invasive interventional technique to release the fiber septal attachment of the bound nerve root in the lateral recess under the whole visual condition by using L5 / S1 Jiaji point as the point of entry. In order to treat the clinical symptoms caused by L5/S1 disc herniation and lateral recess stenosis, compared with the traditional needle-knife therapy to correct the physiological curvature of the spine, the clinical advantages of this scheme were confirmed. To explore a more safe, effective and convenient modern clinical pathway of needle-knife therapy for the disease. Methods: 60 cases of L5/S1 disc herniation with lateral recess stenosis were selected. According to the order of seeing a doctor, 60 cases were randomly divided into two groups: the experimental group (n = 30) and the control group (n = 30). One course of treatment was 15 days in each group. The experimental group was treated with clear vision needle knife. The control group was treated with traditional needle knife once every 7 days, and the control group was treated twice during the course of treatment. At the end of the course of treatment, the data of JOA score and VAS score were evaluated before and after treatment. Results: after treatment, there was no significant difference in VAS score between the two groups before and after treatment (p0.05). After treatment, there was no significant difference in VAS score between the two groups (p0.05). There was no significant difference in JOA score between the two groups before and after treatment (p0.05). After treatment, the JOA score of the two groups was analyzed, and the improvement index of lumbar vertebrae function was found. The improvement rate was significantly different (p0.05). Results the apparent acicular knife therapy had better clinical effect than traditional needle-knife therapy (p0.05). The overall curative effect was analyzed. In the test group, 15 cases were cured, 15 cases improved significantly, 6 cases were improved, 2 cases were ineffective, the total effective rate was 93.33.The cure rate was 23.30.The control group (1 case) cured 15 cases with remarkable effect and 8 cases had no effect, the total effective rate was 80%, and the cure rate was 3%. The two groups had statistical significance and significant difference (p0.05). The clinical effect of experimental group was better than that of control group. Conclusion: the treatment of L5/S1 disc herniation with lateral recess stenosis with clear vision needle knife is superior to that of traditional acupuncture therapy in improving lumbar function and clinical curative effect. This treatment scheme combined with traditional acupuncture and moxibustion is superior to that of traditional acupuncture treatment in the treatment of lumbar disc herniation and lateral recess stenosis. Modern needle-knife and western minimally invasive interventional technique, under the condition of the whole open vision, the needle knife release, safe, effective, high reproducibility, worthy of clinical application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.9
【参考文献】
相关期刊论文 前10条
1 李庆华;邓芳;雷志凯;孙建良;;超声引导下小针刀松解颈椎间孔外口治疗神经根型颈椎病[J];浙江中西医结合杂志;2015年06期
2 费志军;黄山东;赵晓亮;何s，
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